Individual
MISS JENNIFER KAY COY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
112 HOLT DR, MADISON, IN 47250-3873
(812) 265-8226
Mailing address
11952 MARKLAND PIKE, VEVAY, IN 47043-9733
(812) 290-4907
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32002043A
IN
Other
Enumeration date
08/13/2011
Last updated
08/13/2011
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